Primary polyarteritis nodosa presenting as acute symmetric quadriplegia.
Autor(es)Bosch X.; Navarro M.; Lopez-Soto A.; Grau J. M.; Martinez-Orozco F.
ResumoWe report a case of peripheral neuropathy presenting as acute symmetric areflexic quadriplegia in the setting of a well-defined clinical, histopathologic, and angiographic diagnosis of classic polyarteritis nodosa. While it is usually easy to recognize the typical clinical presentation of necrotizing angiopathy-induced peripheral neuropathy as a mononeuritis multiplex or a distal polyneuropathy in association with a collagen vascular disease, clinicians must be equally sensitive to a number of more challenging possibilities. Acute quadriplegia similar to that seen in Guillain-Barré syndrome can be secondary to primary classic polyarteritis nodosa and the former may be the chief or even the sole manifestation of the latter.
ImprentaClinical and Experimental Rheumatology, v. 17, n. 2, p. 232-234, 1999
DescritoresGuillain-Barre Syndrome - Cytopathology ; Guillain-Barre Syndrome - Pathogenesis
Data de Publicação:1999